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Welcome to Royal Orthognathic Surgeries, your destination for advanced jaw and teeth-related care. Our team comprishighly skilled, multi-disciplinary specialists, including orthodontists and oral surgeons, to meet your aesthetic needs. We take pride in offering expeditious solutions to complex jaw and teeth cases, setting a standard for advanced dentistry in Mumbai. Our commitment to innovation, robust infrastructure, and cutting-edge research ensures unparalleled quality and experience.
Meet Dr. Chirag Chamria, a certified Oral and Maxillofacial Surgeon who embodies the essence of advanced dentistry in Mumbai. His extensive training covers zygomatic implants, cosmetic dentistry, orthognathic surgery, full mouth rehabilitation, and oral cancer rehabilitation.
For those seeking top-notch jaw and teeth treatments in Mumbai, Royal Orthognathic Surgeries stands as a beacon of excellence. Dr. Chirag Chamria’s holistic approach and extensive expertise make Royal Orthognathic Surgeries a premier destination for transformative and comprehensive dental care.
Orthognathic surgery: Braces, Aligners, Jaw Surgery
Orthognathic or corrective jaw surgery addresses dental and skeletal discrepancies in the jaw and face that cannot be fixed by braces alone. Braces are essential in this process, aligning teeth before and after surgery to ensure a functional and aesthetically pleasing result. The journey with braces typically starts a year or more before surgery, with orthodontists meticulously aligning teeth to fit properly once the jaws are repositioned.
The initial phase of treatment with braces involves detailed planning and examination, including X-rays, photographs, and digital impressions. These help create a tailored treatment plan. Braces, consisting of brackets and wires, are applied to guide teeth movement, with regular adjustments over several months gradually aligning the teeth.
Braces are crucial for orthognathic surgery because they help establish a stable bite, essential for the surgery’s success and long-term dental health. Proper teeth alignment allows for accurate jaw repositioning, improving bite function and enhancing facial symmetry.
Before surgery, braces decompensate the teeth, moving them into ideal positions within each jaw independently. This step might temporarily worsen the bite but ensures correct jaw positioning during surgery. After optimal positioning, the patient undergoes orthognathic surgery, which may involve repositioning the upper and/or lower jaw. Post-surgery, the jaws are stabilized with plates and screws, and braces hold the teeth in their new positions.
The post-operative phase is also crucial. Patients continue wearing braces to fine-tune teeth alignment as the jaws heal, which can last from several months to over a year. Regular orthodontist visits are needed to adjust the braces and ensure proper teeth movement.
Aligners, a type of orthodontic treatment, use custom-made, clear, removable trays to gradually move teeth. Unlike traditional braces, aligners are virtually invisible and can be removed for eating, brushing, and flossing. Orthognathic surgery can complement aligners by correcting jaw discrepancies that aligners alone cannot address.
Orthodontist and Oral Surgeon collaboration
Many patients seek orthognathic surgery not only for functional reasons, like improving bite and chewing efficiency, but also for cosmetic reasons. Misaligned jaws can cause aesthetic issues such as asymmetrical facial features, a protruding jaw, or a receding chin. Orthognathic surgery, by aligning teeth and jaws, can significantly enhance facial profiles and boost self-confidence.
The success of the surgery relies heavily on the precise coordination between these specialists. Orthodontists prepare the teeth meticulously, ensuring that they are in the perfect position for the surgical intervention. Surgeons, on the other hand, rely on this precise alignment to reposition the jaws accurately. Post-surgery, orthodontists again take the lead in refining the alignment, ensuring the long-term success of the procedure.
Challenges and Advancements Orthognathic Surgery
One of the challenges patients often face is the duration of treatment is that it can span several years from the initial application to the final removal. This long-term commitment requires patience and dedication from the patient. However, the results are often life-changing, providing not only improved dental function but also enhanced facial aesthetics.
Advancements in orthodontic technology have made the process of wearing braces more comfortable and efficient. Modern braces are more discreet and less painful than their predecessors. Options such as ceramic braces and clear aligners offer more aesthetically pleasing alternatives to traditional metal braces. These advancements have made the prospect of wearing braces more acceptable to patients of all ages.
Patient education and determination are crucial aspects of the treatment process. Understanding the time and effort behind orthognathic surgery helps patients appreciate the necessity of this step and adhere to the treatment plan. Orthodontists and Oral Surgeons often spend considerable time explaining the process, expected outcomes, and potential challenges. This education helps in setting realistic expectations and prepares patients for the journey ahead.
Psychological Impact and Health
The psychological impact of orthognathic surgery and braces should not be underestimated. For many patients, especially adolescents and young adults, the appearance of braces can affect their self-esteem. Support from family, friends, and healthcare providers is essential in helping patients cope with these temporary changes. The promise of a significantly improved facial profile and dental function at the end of the treatment often provides the necessary motivation to persevere through the process.
In addition to the aesthetic and functional benefits, orthognathic surgery with braces can also have positive health implications. Proper alignment of the teeth and jaws can alleviate a variety of issues, such as sleep apnea, temporomandibular joint (TMJ) disorders, and chronic headaches. By correcting the underlying skeletal problems, patients can experience a better quality of life, free from the pain and discomfort associated with these conditions.
Benefits of Aligners?
Combining orthognathic surgery with aligners offers several benefits. First, it provides a comprehensive solution to jaw and teeth alignment issues. While surgery addresses the structural problems of the jaw, aligners ensure that the teeth are properly positioned. This dual approach can result in a more balanced facial appearance and improved functionality.
Second, the use of aligners post-surgery helps maintain the results. After orthognathic surgery, the jawbones need time to heal and stabilize. During this period, aligners can help ensure that the teeth remain in their new positions, preventing relapse and ensuring long-term success.
Third, aligners are more aesthetically pleasing compared to traditional braces. Since they are clear and removable, patients can go about their daily activities without the noticeable appearance of metal braces. This is particularly beneficial for adults and professionals who may be concerned about the aesthetics of their orthodontic treatment.
Process of Orthognathic Surgery
The process of undergoing orthognathic surgery and aligners treatment is typically divided into three phases: pre-surgical, surgical, and post-surgical.
Pre-Surgical Phase: This phase involves the preparation of the teeth and jaws for surgery. Patients will wear braces or aligners to gradually move the teeth into a position that will facilitate the surgical procedure. Regular visits to the Dentist is required to monitor progress and make any necessary adjustments.
Surgical Phase: The surgical phase involves the actual orthognathic surgery. This procedure is usually performed in a hospital setting under general anaesthesia. The surgeon makes precise cuts in the jawbones and repositions them into the correct alignment. Plates, screws, and wires may be used to secure the bones in their new positions. The surgery can take several hours, depending on the complexity of the case.
Post-Surgical Phase: After the surgery, patients will need time to heal and recover. They may experience swelling, discomfort, and limited jaw movement for the first few weeks. During this time, the orthodontist will provide a new set of aligners or braces designed to maintain the teeth in their new positions and make any necessary adjustments.
Recovery Process after Orthognathic Surgery
Recovery from orthognathic surgery can vary depending on the individual and the extent of the surgery. Generally, the initial recovery period lasts about six weeks, during which patients may experience swelling, bruising, and discomfort. Pain medication and anti-inflammatory drugs are usually prescribed to manage these symptoms.
During the first few weeks, patients are typically advised to follow a soft or liquid diet to avoid putting strain on the surgical sites. Good oral hygiene is crucial to prevent infection, and patients should follow their surgeon’s instructions regarding brushing and rinsing.
Physical activity should be limited during the initial recovery period, and patients should avoid any activities that could impact the jaw. Gradually, as the healing progresses, patients can return to their normal routines.
The use of aligners or braces during the recovery process helps to maintain the new alignment of the teeth and jaws. Regular follow-up appointments with the orthodontist are essential to monitor progress and make any necessary adjustments.
Preparing Patient for Orthognathic Surgery
Preparation for orthognathic surgery involves several steps. Initially, a comprehensive evaluation by both an orthodontist and an oral and maxillofacial surgeon is necessary. This evaluation includes diagnostic imaging, dental impressions, and a thorough review of the patient’s medical history.
Patients may need to undergo pre-surgical orthodontic treatment to position the teeth in a way that will facilitate the surgery. This phase can last several months and requires regular visits to the orthodontist for adjustments.
It’s important for patients to maintain good oral hygiene and follow any dietary recommendations provided by their orthodontist. In some cases, patients may need to make lifestyle adjustments, such as quitting smoking or adjusting their diet, to ensure a smooth surgical procedure and recovery.
Patients should also plan for their recovery period by arranging for time off work or school and ensuring they have support at home for the initial postsurgical phase. Preparing soft foods and ensuring they have all necessary medications and supplies on hand can help ease the recovery process.
Long-Term Success after Orthognathic Surgery
To ensure long-term success after orthognathic surgery treatment, patients should adhere to all post-operative instructions and maintain regular follow-up appointments with their orthodontist and surgeon. Consistent use of aligners as prescribed is essential to prevent relapse and ensure the teeth remain in their new positions.
Maintaining good oral hygiene is crucial. Patients should brush and floss regularly and follow any additional recommendations from their orthodontist. Regular dental check-ups are also important to monitor oral health and address any issues promptly.
Patients should also be mindful of their diet and avoid foods that could damage their teeth or aligners. Staying hydrated and avoiding tobacco products can also contribute to overall oral health and successful treatment outcomes.
Future of Orthognathic Surgery
The future of orthognathic surgery looks promising, with ongoing advancements in technology and techniques. Continued developments in 3D imaging, computer-aided design, and digital orthodontics are enhancing the precision and effectiveness of these treatments.
Researchers are exploring new materials and methods to improve the comfort and durability of aligners, as well as more minimally invasive surgical techniques that can reduce recovery times and enhance patient outcomes.
There is also growing interest in personalized medicine and customized treatment plans based on genetic and biometric data. This approach could lead to even more tailored and effective treatments for jaw and teeth alignment issues.
As technology and medical knowledge continue to advance, patients can expect to see even better results and more streamlined treatment processes for orthognathic surgery and aligners. These innovations hold the potential to make these treatments more accessible, comfortable, and effective for a wider range of patients.
Who can get Jaw Surgery?
Candidates for jaw surgery typically experience symptoms such as difficulty biting or chewing food, chronic jaw pain, noticeable facial imbalance, open bite (where the upper and lower teeth do not meet when the mouth is closed), or severe malocclusion (misalignment of teeth). Additionally, individuals with obstructive sleep apnea may benefit from jaw surgery if other treatments have proven ineffective. Orthognathic surgery is tailored to each patient’s specific needs, aiming to restore optimal function and facial aesthetics.
What to Expect During Recovery
Recovery from orthognathic surgery is a gradual process that requires patience and adherence to post-operative instructions. Immediately following surgery, patients may experience swelling, bruising, and discomfort, which can be managed with prescribed medications. A soft or liquid diet is typically recommended initially to allow the jaw to heal properly. Over time, as healing progresses, patients can gradually reintroduce solid foods. Regular follow-up appointments with the surgical team are essential to monitor healing progress and make any necessary adjustments to the treatment plan.
Risks and Complications
Like any surgical procedure, orthognathic surgery carries potential risks and complications, although these are generally rare. These may include infection, bleeding, nerve injury leading to numbness, relapse of jaw positioning, or issues with bite alignment. However, with careful pre-operative planning and expert surgical techniques, the likelihood of complications is minimized. Patients are encouraged to discuss any concerns with their surgical team and follow all post-operative care instructions diligently to promote optimal healing and outcomes.
Schedule Your Consultation at Royal Dental Clinics in Mumbai, India
Dental Consultation Includes:-
1. In-depth ExaminatioDiscussion
2. X-ray OPG / CBCT / Intra-oral scan as required by our Dentist
3. Personalized Treatment Plan Options
Services
Braces
Aligners
Jaw Surgery
Case Studies Braces
Braces Treatment for Proclined Upper Front Teeth
Initial Consultation and Diagnosis: July 2023: The patient presented with a noticeable proclination of the upper front teeth. An orthodontic evaluation confirmed the need for corrective treatment to improve dental alignment and aesthetics. Commencement of Treatment: Braces and wires were placed on the patient’s upper teeth to gradually move them into the desired position. This conventional braces treatment aims to correct the proclination and align the teeth properly. Follow-Up and Expected Outcome: The treatment is ongoing, with regular follow-up appointments to adjust the brackets and wires as needed. With consistent orthodontic adjustments, the patient's upper front teeth are expected to be repositioned to achieve a more aligned and aesthetically pleasing dental arch. The orthodontic treatment involving the placement of brackets and wires was initiated to correct the proclined upper front teeth of the patient. Regular follow-ups and adjustments are essential to ensure the success of the treatment, aiming to improve both the function and appearance of the patient’s teeth.Case Study: 12 Years Old Female Braces Treatment for Proclined Upper Front Teeth
Treatment Timeline:
Orthodontic Treatment for Proclined Upper Front Teeth
Initial Consultation and Diagnosis: February 2023: The patient presented with a longstanding issue of proclined upper front teeth. A thorough orthodontic assessment confirmed the necessity of corrective treatment to improve dental alignment and aesthetics. Commencement of Treatment: Orthodontic brackets and wires were placed on the patient's upper teeth to gradually move them into the desired position. This conventional braces treatment was aimed at correcting the proclination and achieving proper alignment. Completion of Treatment: After a year of consistent orthodontic adjustments, the treatment was successfully completed. The braces were removed, revealing well-aligned upper front teeth. Post-Treatment Care: Retainers were provided to the patient to maintain the new position of the teeth and prevent any relapse. The patient was instructed on the importance of wearing retainers as directed.Case Study: 21 Years Old Female Orthodontic Treatment for Proclined Upper Front Teeth
Treatment Timeline:
Orthodontic and Implant Treatment for Missing Tooth
Initial Consultation and Diagnosis: January 2022: The patient presented with a missing upper right front tooth and noticeable spacing in the dental arch. An orthodontic and prosthetic treatment plan was developed to address the issues. Commencement of Orthodontic Treatment: Orthodontic brackets and wires were placed to realign the teeth and close the gaps. Additionally, the primary dentition tooth in the affected area was removed to prepare for future implant placement. Completion of Orthodontic Treatment: June 2023: The orthodontic treatment was completed, and the braces were removed, successfully aligning the teeth and creating adequate space for the implant. Implant Placement and Prosthesis: October 2023: Dental implants were placed in the upper right front region to replace the missing tooth. A final prosthetic crown was attached to the implant, restoring the appearance and function of the patient's smile.Case Study: 23 Years Old Female Orthodontic and Implant Treatment for Missing Tooth
Treatment Timeline:
Orthodontic Treatment for Misaligned Teeth
Initial Consultation and Diagnosis: December 2020: The patient presented with misaligned teeth. A thorough orthodontic assessment confirmed the need for corrective treatment to achieve proper dental alignment. Commencement of Treatment: February 2021: Orthodontic brackets and wires were placed on the patient’s teeth to gradually move them into the desired position. This conventional braces treatment aimed to correct the malalignment and enhance both function and aesthetics. Completion of Treatment: August 2022: After approximately 18 months of consistent orthodontic adjustments, the treatment was successfully completed. The braces were removed, revealing well-aligned teeth. Post-Treatment Care: Retainers were provided to the patient to maintain the new position of the teeth and prevent any relapse. The patient and her guardians were instructed on the importance of wearing the retainers as directed.Case Study: 12 Years Old Female Orthodontic Treatment for Misaligned Teeth
Treatment Timeline:
Frequently Asked Questions Braces
Orthodontic braces are dental appliances used to straighten and align crooked or misaligned teeth. They consist of brackets, wires, and elastic bands that apply gentle pressure to gradually move the teeth into the desired position. Braces work by applying continuous pressure to the teeth, which causes them to gradually shift into proper alignment over time. The wires and brackets are adjusted periodically by the orthodontist to ensure steady progress. The duration of orthodontic treatment varies depending on the severity of the misalignment and individual treatment goals. On average, treatment with braces typically lasts between 18 months to three years. Yes, certain foods should be avoided or limited to prevent damage to the braces or teeth. Hard, sticky, or crunchy foods can bend wires or break brackets. Patients should also minimize sugary snacks to prevent tooth decay. Proper oral hygiene is essential during orthodontic treatment to prevent tooth decay and gum disease. Patients should brush their teeth after every meal and floss daily, using special orthodontic brushes and floss threaders to clean around the braces and wires.Frequently Asked Questions
What are orthodontic braces?
How do orthodontic braces work?
How long do I need to wear braces?
Do I need to avoid certain foods with braces?
How do I clean my teeth with braces?
Case Studies Aligners
Case Studies Jaw Surgery
Orthognathic Surgery for Forwardly Placed Mandible
Forwardly placed mandible Using invisible braces for 1 year Procedures Performed: A 29-year-old female, initially complained of a forwardly placed mandible. She experienced difficulty in chewing and breathlessness. She had been using invisible braces for the past year. In May 2023, she was admitted for surgery. The treatment performed on included Lesor, Osteotomy, and Bilateral Sagittal Split Osteotomy, with mini plates and screws fixed to correct the mandibular alignment. All of which was customised by Orthognathic Team of Oral & Maxillofacial Surgeon and Dentist. The surgery aimed to improve mandibular positioning, thereby alleviating her symptoms and improving oral functionality. Duration of Treatment: 3 YearsCase Study: 29 Years Old Female Orthognathic Surgery for Forwardly Placed Mandible
Chief Complaints (C/O):
Difficulty in chewing
BreathlessnessHistory (H/O):
Treatment Details:
Lesor
Osteotomy
Bilateral Sagittal Split Osteotomy
Fixation of mini plates and screwsSummary:
Outcome:
Schedule Your Consultation at Royal Dental Clinics in Mumbai, India
Dental Consultation Includes:-
1. In-depth ExaminatioDiscussion
2. X-ray OPG / CBCT / Intra-oral scan as required by our Dentist
3. Personalized Treatment Plan Options
Certificate of Completion
Frequently Asked Question’s
Orthognathic Surgery
FAQ's for Orthognathic Surgeries
Orthognathic surgery, also known as jaw surgery, is a procedure performed to correct various abnormalities of the jawbones and teeth, such as misalignment, bite problems, and facial asymmetry. Orthognathic surgery is typically recommended for individuals with severe bite problems, such as overbite, underbite, or crossbite, as well as those with facial asymmetry or difficulty chewing, speaking, or breathing due to jaw misalignment. Orthognathic surgery can improve facial appearance, correct bite problems, enhance chewing and speech functions, alleviate TMJ (temporomandibular joint) pain, and improve overall oral health. Orthognathic surgery is performed under general anaesthesia in a hospital with ICU setup. The Oral & Maxillofacial Surgeon makes precise incisions in the jawbones to reposition them into the correct alignment. Bone grafts may be used to stabilize the bones, and orthodontic treatment is often combined with surgery to achieve optimal results. The recovery period varies for each individual but typically involves some swelling, discomfort, and a liquid or soft diet for a few weeks. Patients may also need to wear orthodontic braces or aligners for further alignment after surgery. Like any surgical procedure, orthognathic surgery carries certain risks, including infection, bleeding, nerve damage, and relapse of the jaw position. However, these risks are minimized with careful planning and skilled surgical techniques. Incisions for orthognathic surgery are typically made inside the mouth, minimizing visible scarring. Any scars that do form inside the mouth tend to heal well and become less noticeable over time.What is orthognathic surgery?
Who needs orthognathic surgery?
What are the benefits of orthognathic surgery?
How is orthognathic surgery performed?
What is the recovery process like after orthognathic surgery?
Are there any risks associated with orthognathic surgery?
Will I have visible scars after orthognathic surgery?
FAQ's for Orthognathic Surgeries
Braces
FAQ's for Braces
Orthodontic braces are dental appliances used to straighten and align crooked or misaligned teeth. They consist of brackets, wires, and elastic bands that apply gentle pressure to gradually move the teeth into the desired position. Braces work by applying continuous pressure to the teeth, which causes them to gradually shift into proper alignment over time. The wires and brackets are adjusted periodically by the orthodontist to ensure steady progress. The duration of orthodontic treatment varies depending on the severity of the misalignment and individual treatment goals. On average, treatment with braces typically lasts between 18 months to three years. Yes, certain foods should be avoided or limited to prevent damage to the braces or teeth. Hard, sticky, or crunchy foods can bend wires or break brackets. Patients should also minimize sugary snacks to prevent tooth decay. Proper oral hygiene is essential during orthodontic treatment to prevent tooth decay and gum disease. Patients should brush their teeth after every meal and floss daily, using special orthodontic brushes and floss threaders to clean around the braces and wires. What are orthodontic braces?
How do orthodontic braces work?
How long do I need to wear braces?
Do I need to avoid certain foods with braces?
How do I clean my teeth with braces?
FAQ's for Braces
Aligners
FAQ's for Aligners
Orthodontic aligners, such as Invisalign, are clear, removable trays that gradually move the teeth into alignment. They are custom-made for each patient and are nearly invisible when worn. Orthodontic aligners work by applying controlled forces to the teeth, similar to traditional braces. Patients wear a series of aligners, each slightly different from the last, to gradually shift the teeth into the desired position. Orthodontic aligners should be worn for 20 to 22 hours per day to achieve optimal results. They should only be removed for eating, drinking (except water), brushing, and flossing. Orthodontic aligners should be cleaned regularly with a soft toothbrush and clear, antibacterial soap or specialized cleaning crystals. Patients should also brush and floss their teeth before reinserting the aligners to prevent plaque buildup and tooth decay.What are orthodontic aligners?
How do orthodontic aligners work?
How long do I need to wear orthodontic aligners each day?
What is the maintenance like for orthodontic aligners?
FAQ's for Aligners